Yohimbine, also known under the antiquated names quebrachin, aphrodin, corynine, yohimvetol and hydroergotocin, is a purported aphrodisiac.
Yohimbine chloride—a standardized form of yohimbine—is a prescription medicine that has been used to treat erectile dysfunction. Controlled studies suggest that it is not always an effective treatment for impotence, and evidence of increased sex drive (libido) is anecdotal only.
Yohimbine has been shown to be effective in the reversal of sexual satiety and exhaustion in male rats. Yohimbine has also been shown to increase the volume of ejaculated semen in dogs, with the effect lasting at least five hours after administration. Yohimbine has been shown to be effective in the treatment of orgasmic dysfunction in men.
Yohimbine has been used to facilitate recall of traumatic memories in the treatment of post-traumatic stress disorder (PTSD).. Use of yohimbine outside therapeutic settings may not be appropriate for persons suffering from PTSD.
According to one study, oral yohimbine supplementation may actuate significant fat loss in athletes. Some internet shops sell expensive formulations of yohimbine for transdermal delivery to effect a local reduction of adipose tissue, although there is no experimental evidence that it is effective. Demand for products of this kind is frequently found in the bodybuilding community.
Yohimbine also antagonizes several serotonin receptor subtypes: 1A (inhibitory, behavioral control), 1B (inhibitory, vasoconstriction), 1D (inhibitory, vasoconstriction), and 2B (smooth muscle contraction). Since yohimbine is an antagonist, it will decrease the effects of these receptors, thus causing excitation, vasodilation, and smooth muscle relaxation.
Yohimbine is also said to increase dopamine and have some actions as an MAOI, although these mechanisms are unknown. Yohimbine and Yohimbine bark may also cause vasodilation through endothelin B receptor stimulation and nitric oxide (NO) release.
The active chemical present in yohimbe bark is Yohimbine HCl (indole alkaloid) found in the bark of the Pausinystalia yohimbe tree.
However, the levels of yohimbine that are present in yohimbe bark extract are variable and often very low. Therefore, although yohimbe bark has been used traditionally to reduce male erectile dysfunction, there is not enough scientific evidence to form a definitive conclusion in this area.
Higher doses of oral yohimbine may create numerous side effects such as rapid heart rate, high blood pressure,overstimulation,insomnia and/ or sleeplessness. Some effects in rare cases were panic attacks, hallucinations, headaches, dizziness and skin flushing.
Consuming cheese, red wine, or liver while taking yohimbine is not recommended as this may increase blood pressure to unsafe levels.
The range between an effective dose and a dangerous dose is very narrow, too large of a dosage can be harmful and toxic.